RICHARD J FANTUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064949

License Status

ACTIVE

Business

First Name

RICHARD J

Last Name

FANTUS

Suffix

Business Name

RICHARD J FANTUS MD

Original Issue Date

07/30/1982

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

04/10/2023